Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CHEYENNE PROFESSIONAL DRUG RMOP |
License Number |
76-9390 |
Type of Pharmacy |
RMOP In-State |
Address |
413 E BROADWAY AVE |
City, State, Zip |
CHEYENNE,
OK 73628 |
Country |
|
Issue Date |
01/31/2023 |
Renewed Date |
12/13/2024 |
Expiration Date |
01/31/2026 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JACLYN CAROLE STEPHENS - 14254 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|